| Hughestown Health Services, Pc | |
|
2352 Newton Ransom Blvd Clarks Summit PA 18411-9650 | |
| (570) 388-2612 | |
| (570) 388-0946 |
| Full Name | Hughestown Health Services, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2352 Newton Ransom Blvd, Clarks Summit, Pennsylvania |
| Authorized Official Name and Position | Anthony L Chiavacci (PRESIDENT) |
| Authorized Official Contact | 5703882923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hughestown Health Services, Pc 2352 Newton Ransom Blvd Clarks Summit PA 18411-9650 Ph: (570) 388-2612 | Hughestown Health Services, Pc 2352 Newton Ransom Blvd Clarks Summit PA 18411-9650 Ph: (570) 388-2612 |
| NPI Number | 1841254547 |
|---|---|
| Provider Enumeration Date | 04/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841254547 | NPI | - | NPPES |
| 0011539170011 | Medicaid | PA | |
| 0072770000 | Other | INDEPENDENCE BLUE CROSS | |
| 124627 | Other | HEALTH ASSURANCE | |
| HU1596910 | Other | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD039389L (Pennsylvania) | Primary |
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